(Hypertension. 1999;34:983-986.)
© 1999 American Heart Association, Inc.
Scientific Contributions |
From the Department of Physiology and Biophysics, Mayo School of Medicine and Mayo Clinic, Rochester, Minn.
| Abstract |
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(isoprostanes), which
may contribute to the slow pressor response to angiotensin
II. To test this hypothesis, we infused angiotensin II (10
ng/kg per minute for 28 days via an osmotic pump) into 6 conscious
normotensive female pigs (30 to 35 kg). We recorded mean
arterial pressure continuously with a telemetry system and
measured plasma isoprostanes before starting the
angiotensin II infusion (baseline) and again after 28 days
with an enzyme immunoassay. Angiotensin II infusion
significantly increased mean arterial pressure from 121±4
to 153±7 mm Hg (P<0.05) without altering total
plasma isoprostane levels (180.0±24.3 versus 147.0±29.2 pg/mL;
P=NS). However, the plasma concentrations of free
isoprostanes increased significantly, from 38.3±5.8 to 54.7±10.4
pg/mL (P<0.05). These results suggest that subpressor
doses of angiotensin II increase oxidative stress, as
implied by the increased concentration of free isoprostanes, which
accompany the elevation in mean arterial pressure
elevation. Thus, isoprostane-induced vasoconstriction and
antinatriuresis may contribute to the hypertension induced by the slow
pressor responses of angiotensin II.
Key Words: kidney oxidative stress prostaglandins lipid peroxidation
| Introduction |
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is
considered the most ubiquitous and reliable index of oxidative
stress.
Isoprostanes are not only reliable markers of oxidative stress but also
possess intrinsic vasoconstrictor and
antinatriuretic properties via specific
receptors,11 12 raising the possibility that they
contribute to the hypertensive effects of angiotensin II.
If subpressor doses of angiotensin II also induce oxidative
stress, consequently increasing isoprostane levels, then it is possible
that the increases in isoprostanes are responsible, at least in part,
for the slow pressor responses to angiotensin II.
Therefore, in the present study we determined whether swine also
develop slow responses to subpressor doses of angiotensin
II and whether these responses are accompanied by an increase in
oxidative stress, as expressed by the elevation of plasma isoprostane
F2
.
| Methods |
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Blood Pressure Measurements
Blood pressure was monitored via a Physiotel telemetry implant
(Data Sciences International) placed in the ventral aspect of
the neck. Implants use a fluid-filled catheter, which refers pressure
from the catheter tip, inserted into the carotid artery, to a sensor
located in the body of the implant. The implant transmits the blood
pressure data telemetrically to a receiver that converts the
radiofrequency signal to a PC-based data collection system. This
allowed for blood pressure monitoring from conscious, freely moving
laboratory animals 24 hours a day for 7 control and 28
angiotensin IIinfused days.
Angiotensin II Infusions
After 7 days of baseline blood pressure measurements, the pigs
were anesthetized, and a blood sample was withdrawn from the
jugular vein for plasma isoprostane levels. Under sterile conditions,
an osmotic pump with 2-mL capacity and of 4 weeks' duration was
implanted subcutaneously in the ventral aspect of the neck (model 2
ML4, Alza Corp). A polyethylene catheter connected to 1 end of the
osmotic pump flow modulator was inserted into the jugular vein. The
pump was primed with 20 mg of angiotensin II
(Asp-Arg-Val-Tyr-Ile-His-Pro-Phe acetate salt) (Sigma) in 2 mL
of sterile isotonic saline. Infusion occurred at a constant rate of 2.5
µL/h, which delivers
14 ng/kg per minute at the beginning of the
study and
8 ng/kg per minute at the end of the study (because of the
growth of the pig). At the end of 28 days, the pigs were
anesthetized, and a blood sample was withdrawn from the jugular
vein for determination of plasma isoprostane levels. Isoprostanes
circulate in 2 distinct forms, esterified in LDL phospholipids and as
the free acid.13 14
Isoprostane Assay Procedure
Extraction and enzyme immunoassay procedures used to measure
isoprostanes follow the methods supplied in the kit provided by Cayman
Chemical with a few modifications. Plasma isoprostanes exist in
circulation as either a free base or esterified to lipoproteins. To
measure the esterified isoprostanes, a further extraction hydrolysis
step is required for conversion to free bases that can then be measured
by extraction and enzyme immunoassay. This measurement of all
isoprostanes is referred to as the total. Samples are removed from
-80°C storage and thawed on ice. Of the sample, 1.0 mL is used for
measurement of free isoprostanes, while 0.5 mL is used to measure total
isoprostanes. Absolute methanol is first added to all samples, followed
by thorough mixing and centrifugation. For free
isoprostane, the eluent is poured into a water/buffer solution and kept
on ice, while the total eluent is poured in a solution of 15% KOH and
incubated for 1 hour at 38°C. After incubation, a water/buffer
solution is also added to the total samples, with a pH of 3.1±0.5 in
all samples. Extraction is then performed on a Sep-Pak C18 column, with
washes of water and hexane. The isoprostanes are eluted from the column
with a solution of 99%/1% ethyl acetate/methanol, which is then dried
off under nitrogen, and the samples are reconstituted into a 1.0-mL
assay buffer. For the assay, standards and samples are first added in
triplicate to the 96-well plate provided in the kit, followed by
addition of tracer and antibody and then incubation overnight at room
temperature. The next day, the plate is washed several times with wash
buffer, followed by addition of Ellman's reagent. After optimal
development of color, the plate is read at 405 nm, and values of
unknowns are expressed as picograms per milliliter.
Data Analysis
Data are expressed in absolute values ±SEM. Paired t
tests were used to examine whether the isoprostane and blood pressure
levels were different before and after chronic infusion of
Angiotensin II. The control mean arterial
pressure (MAP) was the average of the last control day (day 7). The
paired comparison was made with the 28th day of angiotensin
II infusions, the same day the plasma isoprostane levels were
determined. When the normality test failed, the Wilcoxon rank
sum test was used instead. For all analyses, P<0.05
was considered significant.
| Results |
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| Discussion |
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The mechanism underlying the slow response to angiotensin II remains undefined. However, it has been linked by other investigators to the level of sodium intake,5 sympathetic activation at the central nervous system,3 and arteriolar hypertrophy.15 A high sodium diet potentiates significantly the development of the slow response to angiotensin.5 From these observations, it has been concluded that the level of angiotensin in plasma during continuous infusion may be inappropriate with respect to the levels of extracellular fluid volume. This possibility has been discarded by some authors because the slow responses to angiotensin II are triggered by levels of angiotensin II that are below those that are usually needed to stimulate steroidogenesis or thirst. However, since angiotensin II itself has powerful natriuretic actions5 or, alternatively, it may stimulate antinatriuretic compounds (eg, isoprostanes), it is still possible that an alteration in the balance between the extracellular fluid volume and angiotensin levels may contribute to the hypertension.
The second possibility is that angiotensin permeates the central nervous system, stimulating sympathetic activity at the level of the fourth ventricle (such as the area postrema or nucleus of the tractus solitarius). However, sympathectomy in the rat with the use of 6-hydroxydopamine does not prevent the slow pressor effect in rats.16 There are no signs of sympathetic overactivity during angiotensin II infusion in dogs17 or men.18 Taken together, these findings argue against a significant role for the central nervous system in the slow pressor responses of angiotensin II.
The ability of angiotensin to stimulate oxidative stress
was first recognized by Rajagopalan et al.19 However,
these investigators used a very large amount of angiotensin
(
0.7 mg per animal) to produce hypertension in rats. If
angiotensin indeed stimulates oxidant production,
there is a likelihood for oxygen to quench NO, reducing its
concentration at the level of smooth muscle in peripheral
resistance vessels. Furthermore, the binding of oxygen to NO could form
potent oxidant substances such as peroxynitrites, which could oxidize
arachidonic acid with the formation of isoprostanes.
This substance has been reported to be one of the most sensitive
markers in reflecting increases in oxidative stress. Furthermore, these
compounds are powerful vasoconstrictors of isolated vascular smooth
muscle cells14 and particularly of the
preglomerular vasculature (leading to decreased
glomerular filtration rate) and also stimulate tubular
sodium reabsorption.20 These vasoconstrictor and
antinatriuretic effects are both frankly
prohypertensinogenic, suggesting that they may be potentially important
in generating and/or sustaining hypertension during chronic
angiotensin infusion.
The present study reveals that low doses of angiotensin
II stimulate oxidative stress and consequently increase the free
isoprostane levels in circulating blood. Both free and total
isoprostanes are markers of oxidative stress. Isoprostanes are
initially formed in vivo esterified to tissue lipids, and subsequently
free isoprostanes are hydrolyzed and released into the systemic
circulation. Thus, it is tempting to speculate that they may be
involved in the slow pressor responses of angiotensin II.
Further studies are needed to establish a causative role rather than
merely a correlation between these compounds and the slow pressor
responses to angiotensin II. Finally, it should be noted
that oxidation also produces other forms of isoprostanes such as
isoprostane D and A2, which are also
vasoconstrictors. However, the F2
isoprostane
isoform is one of the more abundant isoforms in the circulation,
suggesting that it may be biologically important. However, it is
important to note that local concentrations may be quite different.
Conclusion
In conclusion, in the present study we found that infusion of
subpressor doses of angiotensin II into pigs causes blood
pressure to rise progressively. This increase in blood pressure is
accompanied by an increase in the circulating levels of free
isoprostanes. Whether isoprostane-induced vasoconstriction and
antinatriuresis play a role in the hypertensive responses in this model
remains to be established.
| Acknowledgments |
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| Footnotes |
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Received May 10, 1999; first decision June 4, 1999; accepted July 14, 1999.
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